DR. MEGAN E DURHAM M.D.
NPI 1326160649
Pediatrics in High Point, NC

Q: What is Megan Durham's NPI number?

The NPI number for Megan Durham is 1326160649. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Q: What is Megan Durham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Megan Durham was last updated on December 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 06, 2007PECOS Enrolled

4515 PREMIER DRIVE, SUITE 203, HIGH POINT, NC 27265(336) 802-2200(336) 802-2201 Get Directions Write a Review

NPPES record last updated: December 31, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Megan E Durham M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MEGAN E DURHAM M.D. (NPI 1326160649) is an individual pediatrics provider in High Point, North Carolina, licensed in North Carolina (2010-01651) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326160649

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. MEGAN E DURHAMCredential: M.D.

Location Address4515 PREMIER DRIVE, SUITE 203High Point, NC 27265-8356

Mailing Address1701 Westchester Drive, Suite 850High Point, NC 27262-7254 · (336) 802-2536 · Fax (336) 802-2534

Phone(336) 802-2200

Fax(336) 802-2201

Sole ProprietorNo

Enumeration DateApril 6, 2007

Last NPPES UpdateDecember 31, 2012

✔ NPI 1326160649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NC · 2010-01651

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4515 PREMIER DRIVE, High Point, NC 27265

Open in Google Maps ↗

Other Identifiers 2

Medicaid5916723NC

Medicare PINNC3623A569NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Megan E Durham M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Megan Durham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wake Forest Health Network LLC

Same address

Pulmonary Disease

4515 PREMIER DR STE 404
High Point, NC 27265

Reassigned Medicare billing, North Carolina enrollment
583 clinicians in this Medicare group

NPI 1003150798 (336) 802-2094

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27265 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORNERSTONE HEALTH CARE PA

Orthopaedic Surgery

4515 PREMIER DRIVE, SUITE 104
HIGH POINT, NC 27265

Guilford County (336) 802-2250

ELIZABETH ANNE TODD FNP

Nurse Practitioner

4515 PREMIER DRIVE, SUITE 201
HIGH POINT, NC 27265

Guilford County (336) 802-2222

CORNERSTONE HEALTH CARE, PA

Surgery

4515 PREMIER DRIVE, SUITE 202
HIGH POINT, NC 27265

Guilford County (336) 802-2150

BONNIE PARKER MCTYRE M.D.

Pediatrics

4515 PREMIER DRIVE, STE 203
HIGH POINT, NC 27265

Guilford County (336) 802-2200

KRISTI ELIZABETH FLEENOR NP

Nurse Practitioner (Family)

4515 PREMIER DRIVE, SUITE 203
HIGH POINT, NC 27265

Guilford County (336) 802-2200

WAKE FOREST HEALTH NETWORK LLC

Pediatrics

4515 PREMIER DRIVE, SUITE 203
HIGH POINT, NC 27265

Guilford County (336) 802-2200

CORNERSTONE HEALTH CARE, LLC

Audiologist

4515 PREMIER DRIVE, SUITE 404
HIGH POINT, NC 27265

Guilford County (336) 802-2536

CORNERSTONE HEALTH CARE PA

Internal Medicine (Cardiovascular Disease)

4515 PREMIER DRIVE, SUITE 300
HIGH POINT, NC 27265

Guilford County (336) 802-2536

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Megan Durham's NPI number?

The NPI number for Megan Durham is 1326160649. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Megan Durham located?

Megan Durham practices at 4515 Premier Drive Suite 203, High Point, NC 27265. The listed phone number is (336) 802-2200.

What is Megan Durham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Megan Durham enrolled in Medicare?

Yes. Megan Durham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Megan Durham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Durham reassigns Medicare benefits to Wake Forest Health Network LLC (High Point, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Megan Durham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Durham accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list Megan Durham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Megan Durham was last updated on December 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.